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Individual

ALLI JEAN FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2060 CENTRE POINTE BLVD STE 3, MENDOTA HEIGHTS, MN 55120-1271
(866) 822-7464
Mailing address
4265 BEAVER DAM RD, EAGAN, MN 55122-2222
(612) 709-9102

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
225X00000X
Occupational Therapist
Primary
106081
MN

Other

Enumeration date
09/16/2019
Last updated
12/08/2020
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